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Contact Information

MEHRZAD BOZORGNIA, MD
1211 DAVID A BARRY DR
SHOREWOOD, IL60431-0580
 Phone: 858-699-6044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEHRZAD BOZORGNIA · (Male)

NPI Number 1528111952
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 2001-141
  • NM Medicaid 50220322
Hospital affiliation(s)
  • LINCOLN COUNTY MEDICAL CENTER - (Critical Access)
    211 SUDDERTH DRIVE
    RUIDOSO, NM 88345
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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